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Inside Tender > ORAL BOARD Q's > Flashcards

ORAL BOARD Q's Flashcards

1
Q

HOW DO YOU MAP A NUMB SPOT?

A

IDENTIFY NUMB SPOT, MARK NUMB SPOT, ANNOTATE TIME, CONTINUE TO MONITOR NUMB SPOT FOR CHANGE IN SIZE.

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2
Q

Q’S FOR PT WHEN ASSESING PAIN.

A

WERE YOU ACTIVELY WORKING UNDERWATER? DID YOU WORK OUT TODAY? DID YOU INJURE IT UNDERWATER? IS THIS A PRE-EXISTING CONDITION? ARE YOU COLD AND IS THAT WHY YOU ARE NUMB?

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3
Q

STRENGTH SCALE 0-5:
P
P
S
M
M
N

A

0: PARALYSIS, NO MOTION POSSIBLE
1: PROFOUND, FLCIKER OR TRACE OF MUSCLE CONTRACTION
2: SEVERE, ABLE TO CONTRACT MUSCLE BUT NOT AGAINST GRAVITY
3: MODERATE, CAN OVERCOME GRAVITY BUT NOT THE EXAMINER
4: MILD, ABLE TO RESIST SLIGHT FORCE OF THE EXAMINER
5: NORMAL: EQUAL STRENGTH, BILATERALLY, ABLE TO RESIST EXAMINER

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4
Q

CAN YOU PRESS A PULSELESS DIVER?

A

NO. UTILIZE CPR AND AED. IF THAT FAILS, ACLS IS A HIGHER PRIORITY THAN RECOMPRESSION.

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5
Q

THERMOMETERS ALLOWED IN CHAMBER:
E
L
A
B

A
  1. ELECTRONIC
  2. LIQUID CHRYSTAL
  3. ALCOHOL
  4. BIMETALLIC

NOTE: NEVER USE A MERCURY THERMOMETER INSIDE A CHAMBER!

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6
Q

VITALS:
P
P
B
R
T

A

PP O2: 96 AND HIGHER
PULSE: 60-100 BPM
BLOOD PRESSURE: SYSTOLIC/DIASTOLIC: 120/80 mmHg
RESPIRATIONS: 12-16 / MIN
TEMPERATURE: 98.6 F

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7
Q

WHEN TAKING BLOOD PRESSURE, WHEN DO YOU GET YOUR SYSTOLIC READING? DIASTOLIC READING?

A

WHEN YOU HEAR THE FIRST KOROTKOFF SOUND IN THE SPHYGMOMETER, AND WHEN YOU HEAR THE LAST KOROTKOFF SOUND IN THE SPHYGMOMETER.

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8
Q

COURSE OF ACTION FOR CNSO2 TOXICITY IN CHAMBER

A

“OFF O2!” REMOVE MASK, WHEN SX ARE GONE AND PT IS RELAXED AND BREATHING NORMALLY, DECOMPRESS 10FSW AT 1FSW/MIN, RESUME O2 BREATHING AT POINT OF INNTERUPTION. IF IT HAPPENS AGAIN, FINISH DECOMPRESSION ON AIR.

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9
Q

IT RESPONSIBILITIES:

A

1: RELEASING DOOR LATCHES
2: COMMS W/ OUTSIDE PERSONNEL
3: PROVIDE FIRST AID
4: MONITOR VITALS
5: ADMINISTERING TX GAS
6: MONITOR PT FOR O2 TOX
7: EAR PRO
8: PT IS LAYING DOWN FOR FREE BLOOD CIRCULATION.

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10
Q

CHAMBER MANNING:

A

EMERGENCY: 2 CHAMBER SUP/ IT
MIN: 3 CHAMBER SUP/ IT/ OUTSIDE TENDER
IDEAL: 7 DIVING O/ MDV/ CHAMBE SUP/ UMO/ IT/ LOGS/ OUTSIDE TENDER

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11
Q

TWO MATTRRESSES AUTHORIZED INSIDE THE CHAMBER

A

SUBMARINE MATTRESS
DURETT PRODUCT

ENCLOSE IN FLAME PROOF COVERS AND USE 100% COTTON SHEETS/PILLOWCASES.

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12
Q

WHY HAVE CHAMBER RATED MATTRESSES?

A

NON AUTHORIZED ITEMS CAN CAUSE ATMOSPHERIC CONTAMINATIONS OR BUILD UP STATIC ELECTRICITY.

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13
Q

HOW DEEP CAN THE IT BREATHE O2?

A

45 FSW AND SHALLOWER

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14
Q

WHAT ARE THE SURFACE INTERVALS FOR AN IT?

A

18 HOURS OR 48 HOURS FOR TTs 4, 7, & 8

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15
Q

WHEN SHOULD A PT BE KEPT AWAKE?

A

WHEN PT IS ON O2 AT DEPTHS GREATER THAN 30 FSW

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16
Q

WHAT IS THE DRIP RATE OF AN IV IN A PT?

A

75-100 cc/HOUR

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17
Q

WHAT ARE THE TWO AUTHORIZED IV FLUIDS?

A

LACTATED RINGER’S SOLUTUTION
NORMAL SALINE

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18
Q

URINE OUTPUT?

A

.5 cc/kg/hr CLEAR/COLORLESS URINE IS A GOOD INDICATOR OF HYDRATION.

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19
Q

WHEN SHINING LIGHT IN ONE EYE, WHAT DO YOU LOOK FOR?

A

PERRL

PUPILS
EQUAL
ROUND
REACTIVE TO
LIGHT

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20
Q

WHAT IS AN AGE?

A

ENTRY OF GAS BUBBLES INTO ARTERIAL CIRCULATION AS A RESULT OF PULMONARY OVER INFLATION SYNDROME. ONSET IS SUDDEN AND DRAMATIC, OFTEN MINUTES AFTER SURFACING. THIS IS WHY WE MONITOR FOR 10 MIN AFTER DIVING. IF UNTREATED CAN RESULT IN DEATH OR SEVERE NEUROLOGICAL DAMAGE.

21
Q

SX OF AN AGE

A

-FATIGUE
-TROUBLE THINKING
-VERTIGO
-NAUSEA/VOMITING
-HEARING ABNORMALITIES
-BLODDY SPUTUM
-LOSS OF CONTROLL OF BODILY FUNCTIONS
-TREMORS
-LOSS OF COORDINATION
-NUMBNESS
-PERSONALITY CHANGES
-A BLOW TO THE CHEST SENSATION

22
Q

TX OF AN AGE

A

-PRESS TO 60 FSW
-IF SX IMPROVE WITHIN THE FIRST O2 PERIOD, CONTINUE TO TT6, IF NO IMPROVEMENT, PRESS TO DEPTH OF RELIEF NOT TO EXCEED 165 FSW.

23
Q

WHAT ARE THE RESULTS OF DIRECT AND INDIRECT BUBBLE EFFECTS?

A

-DRIRECT: PRESSURE ON NERVE ENDINGS, HEMORRHAGING, REDUCED OR STOPPED BLOOD FLOW, VENIOUS OBSTRUCTION, TISSUE HYPOXIA, CELL INJURY, AND DEATH

-INDIRECT: THICK AND DIFFICULT TO PUMP BLOOD, BLOOD CLOTS, TISSUE HYPOXIA, AND RESPITORY DISTRESS

24
Q

WHAT CLOTHING IS ALLOWED IN THE CHAMBER?

A

100% COTTON
65% POLYESTER, 35% COTTON BLEND

25
Q

ACRONYM: EVNHUT

A

-ENVIRONMENTALS
-VITALS
-NEURO EXAM
-HYDRATION
-URINARY OUTPUT
-TENDER O2 BREATHING REQUIREMENTS

26
Q

PRIMARY MEDKIT CONTENTS:

A

-STETHOSCOOPE
-PULSEOX
-BP CUFF
-REFLEX HAMMER
-PINWHEEL
-THERMOMETER
-DISPOSABLE GLOVES
-SKIN MARKER
-EYE CHART
-TOUNGE DEPRESSORS
-TUNING FORK

27
Q

SECONDARY MEDKIT CONTENTS:

A

-ORAL/NASAL AIRWAYS
-BVM
-TQ
-TRAMA SCISSORS
-TAPE
-BANDAGES
-LIDOCANE JELLY

28
Q

FLOW RATES FOR PT ON O2

29
Q

CHAMBER O2 PERCENTAGE IN CHAMBER

A

19-25%

AIM FOR 21%

30
Q

FIRE IN THE CHAMBER EP

A

-FIRE, FIRE, FIRE,
-OFF, O2
-CONNECT BIBS TO AIR QD
-ON AIR
-EXTINGHUISH FIRE

31
Q

WHAT IS THE FLOW RATE FOR TRANSPORTING A PT ON O2? HOW LONG CAN THEY BE ON 02?

A

10-15 L/MIN
12 HOURS

32
Q

WHEN CAN A PT SLEEP IN THE CHAMBER?

A

NEVER WHEN BREATHING O2 DEEPER THAN 30 FSW

33
Q

CPR RATIO

34
Q

TX FOR A PNEUMOTHORAX

A

TREAT AS AN AGE AND PRESS TO 60 OR UNTIL SIGNS OF RELIEF NOT TO EXCEED 165 FSW

35
Q

DCS

A

DIVER ABSORBS NITROGEN OR HELIUM AT DEPTH. IF DIVER ASCENDS TO FAST THIS GAS WILL SEPERATE FROM SOLUTION AND FOR BUBBLES.

36
Q

TYPE 1 DCS SX:

A

-SKIN (ITCHING, BURNING, OR RASH)
-LYMPHATIC SYSTEM (SWELLING)
-MUSCLES (STIFF OR PAINFUL)
-JOINTS (STIFF OR PAINFUL)

37
Q

TYPE 2 DCS SX:

A

-NERVOUS SYSTEM (PARALYSIS, LOSS OF FEELING)

-RESPIRATORY SYSTEM (COUGH, SHORT OF BREATH, OR HYPOXIA)

-CIRCULATORY SYSTEM (CARDIVASCULAR COLLAPSE AND DEATH)

38
Q

NEAR DROWNING VS DROWNING

A

NEAR DROWNING: PT IS RESUSITATED
DROWNING: PT DEAD

39
Q

SIGNS AN SX OF SHOCK:

A

-ABNORMAL RESPIRATION
-LACKLUSTER EYES
-DIALATED PUPILS
-CYANOSIS
-PALE SKIN
-WEAK, RAPID PULSE
-BP DROPS
-THIRST
-VOMIT

40
Q

TX OF SHOCK

A

-OPEN AIRWAY
-BLEEDING CONTROL
-GIVE O2
-ELEVATE EXTREMITIES
-WARM THE BODY
-GIVE NOTHING BY MOUTH

41
Q

WILL A PULSE-OX IDICATE CO POSIONING?

A

NO, CO ATTACHES ITSELF TO THE RBC AND PREVENTS RBC FROM CARRYING O2

42
Q

TQ PLACEMENT

A

HIGH AND TIGHT
NOT ON LOWER EXTREMITIES WITH TWO BONES.

43
Q

OTITIS EXTERNA

A

SWIMMER’S EAR: AN INFECTION IN THE EAR CANAL CAUSED BY REPEATED IMMERSION.

44
Q

BARODONTALGIA

A

TOOTH SQUEEZE: AIR TRAPPED UNDER A TOOTH FILLING. CAN LEAD TO CRACKED TEETH OR DISLODGED FILLINGS.

45
Q

IMMERSION DIURESIS

A

LOSS OF HYDRATION THROUGHOUT A DIVE. SX CAN BE FATIGUE WHEN A DIVERS CLIMBS OUT OF THE WATER AND CAN EVEN FAINT IN SOME CASES.

46
Q

POIS TREE

A

AGE
MEDIASTINAL EMPHYSEMA
SUBCUTANEOUS EMPHYSEMA
PNEMOTHORAX

47
Q

CNS O2 TOXICITY SX

A

-VISUAL SX
-EAR SX
-NAUSEA/VOMMITING
-TWITCHING/TINGLING
-IRRITABILITY
-DIZZINESS
-CONVULSIONS

48
Q

CNS 02 TOXICITY TX

A

-ASCEND
-SHIFT BREATHING MIX TO LESS O2
-IN CHAMBER, REMOVE MASK

Inside Tender (2 decks)

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